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頁籤選單縮合
題 名 | Easily Missed Patellar Lesions in Emergency Department: A Report of Four Cases=急診室易漏診的髕骨創傷:四病例報告 |
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作 者 | 賴俊達; 張志偉; 許以霖; 林啟禎; 楊俊佑; 賴國安; | 書刊名 | 臺灣急診醫學會醫誌 |
卷 期 | 12:4 2010.12[民99.12] |
頁 次 | 頁119-122 |
分類號 | 416.26 |
關鍵詞 | 漏診; 髕骨; 急診; 診斷失誤; 急性膝外傷; 陷阱; Missed; Patellar; Emergency department; Diagnostic error; Acute knee; Pitfalls; |
語 文 | 英文(English) |
英文摘要 | The superficial location and limited soft tissue coverage make the knee vulnerable to various injuries; and consequently, patellar trauma is commonly encountered. In the busy emergency department, frequent overloads, relative inexperience, and unawareness of proper radiographic assessment commonly lead to diagnostic errors and delay in treatment. Herein we presented 4 neglected patellar lesions from acute knee injuries, whose diagnosis was made later with persistent discomfort and definite radiographic validation. In addition to the complete history and physical examination, we suggest integration of axial projection into the routine radiographic protocol for acute knee trauma to arouse clinical suspicion and avoid associated orthopedic pitfalls. |
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